Practice Management Services

Most group practices offer a single structure: one split, one level of support, one way of working, regardless of where a clinician is in their career.

Our practice management model is intentionally tiered and flexible, allowing clinicians to choose the level of support that fits their needs right now, and adjust as those needs change over time without paying for services they won't use.

Build your counseling practice with the support you need, without paying for services you don't.

Transparent Pricing. Flexible Support.

You shouldn't have to schedule a consultation just to find out the cost. We believe clinicians deserve to know exactly what they're paying for.

That's why we publish our package pricing, included services, and available add-ons upfront. Choose the support you need, without paying for services you don't.

Our packages provide a starting point. Customized arrangements may be available based on your practice needs.

Packages and Fees

Practice Essentials

Your Practice. Our Infrastructure.

15-20% of Revenue

For clinicians who manage their own client acquisition and scheduling but want established practice systems, billing, and minimal admin support.

The reduced rates are available to clinicians who average 26 or more completed sessions per week during the previous calendar quarter.

RECOMMENDED

Practice Plus

More Visibility. Less Administration.

25-30% of Revenue

Everything in Core Essentials, plus Website and Directory listing, New client onboarding, and Insurance eligibility and benefits verification.

The reduced rates are available to clinicians who average 26 or more completed sessions per week during the previous calendar quarter.

Practice Growth

Focus on Therapy. We'll Handle the Rest.

35-40% of Revenue

For clinicians who want comprehensive targeted marketing, full service scheduling, billing and administrative support, and included shared office space.

The reduced rates are available to clinicians who average 26 or more completed sessions per week during the previous calendar quarter.

Explore Our Practice Management Packages

Discover the services, support and responsibilities included in each package.

Practice Essentials

Your Practice. Our Infrastructure.

20% standard / 15% high volume

For clinicians who manage their own referrals, inquiries and scheduling, with access to Pacific Neurocounseling’s established systems, insurance administration and comprehensive billing.

Established Practice Infrastructure

  • Jane EHR and practice management infrastructure
  • EHR setup, orientation, training and technical assistance
  • Secure client portal, telehealth, appointment reminders and intake forms
  • Clinical assessment and documentation templates
  • AI-assisted documentation tools, where available and appropriately configured

Insurance Contracting and Credentialing

  • Access to applicable group insurance contracts, subject to payer eligibility and approval
  • Credentialing, enrollment coordination and payer directory maintenance
  • Coordination of approved supervisory billing arrangements when permitted

Comprehensive Revenue Cycle Management

  • Insurance eligibility and benefits verification to support accurate billing
  • Electronic claims submission and claim-status tracking
  • Payment posting, reconciliation and rejected-claim corrections
  • Denial management, appeals and insurance follow-up
  • Coordination of benefits and secondary claims
  • Accounts receivable monitoring and outstanding claim follow-up
  • Patient statements, payment processing and collections follow-up
  • Payment plan administration and recoupment/dispute coordination

Business Development & Practice Coaching

  • Basic coaching on the steps involved in starting or transitioning into independent practice
  • Guidance on organizing business operations and administrative workflows
  • Education about common private-practice business considerations and resources

Practice Onboarding and Ongoing Support

  • Initial practice systems orientation and established workflow guidance
  • Billing-related troubleshooting and ongoing technical support

Scope and responsibilities: Clinician manages marketing, referral development, new-client inquiries, intake communication, initial and ongoing scheduling. No website profile, practice-managed intake, active advertising, office space or supervision included.

Practice Plus

Professional Visibility. A Front Desk for New Clients.

30% standard / 25% high volume

Everything in Practice Essentials, plus passive exposure through Pacific’s established online presence and administrative support for prospective clients who request the clinician.

Professional Visibility & Passive Marketing Exposure

  • Professional clinician profile on Pacific’s website
  • Visibility through applicable provider directories and existing practice marketing channels
  • Opportunity to receive inquiries from prospective clients who specifically request the clinician
  • No guaranteed referral volume, dedicated advertising or active caseload-building campaign

New-Client Front Desk & Intake Coordination

  • Administrative response to new-client calls and emails requesting the clinician
  • Collection of necessary contact and insurance information
  • Coordination and follow-up on intake paperwork and forms
  • Initial appointment scheduling and appointment instructions
  • Assistance rescheduling the first appointment before care is established, when needed

After the Initial Appointment

  • Clinician manages recurring visits, future bookings, cancellations and rescheduling
  • Clients are directed to contact the clinician directly for subsequent scheduling

Scope and responsibilities: Includes all Essentials services. Clinician remains responsible for developing referral sources and managing ongoing scheduling. Active paid advertising and eligible office space are not included.

Practice Growth

Active Marketing. Ongoing Administrative Support.

40% standard / 35% high volume

Everything in Practice Plus, with active efforts to develop the clinician’s caseload and ongoing scheduling assistance.

Active Marketing & Caseload Development

  • Targeted advertising and active practice marketing efforts
  • Referral outreach and caseload development support
  • New-client inquiries and intake coordination
  • No guarantee of a particular number of referrals or completed appointments

Ongoing Administrative Scheduling

  • Initial and ongoing appointment scheduling and coordination
  • Recurring appointments, scheduling changes and cancellation-related administrative assistance
  • Continued front-desk support for established clients

Eligible Shared Office Space

  • Access to shared furnished office space where offered and subject to availability, utilization and written eligibility terms

Scope and responsibilities: Includes all Essentials and Plus services. Clinical supervision is separately billed when applicable.

Pricing and Important Terms: Fees are percentages of collected revenue. High-volume rates apply when a clinician averages 26 or more completed sessions per week during the previous calendar quarter. Clinical supervision and documentation oversight, when applicable, are billed separately from these package rates.

Payer participation and supervisory billing depend on eligibility, credentialing, contract terms and applicable requirements. Benefits verification does not guarantee claim payment. Business coaching is educational; clinicians complete their own business formation and obtain legal, tax or accounting advice as needed.

Compare Practice Management Packages

See which services are included in each package and find the right level of support for your practice.

Services Practice Essentials 20% / 15% Practice Plus 30% / 25% Practice Growth 40% / 35%
PRACTICE INFRASTRUCTURE
EHR, telehealth, portal and forms ✓ ✓ ✓
Documentation templates and tools ✓ ✓ ✓
Onboarding and technical support ✓ ✓ ✓
INSURANCE & REVENUE CYCLE
Applicable group insurance contracts* ✓ ✓ ✓
Credentialing / enrollment coordination ✓ ✓ ✓
Insurance eligibility / benefits verification ✓ ✓ ✓
Claims, payments, denials and appeals ✓ ✓ ✓
Secondary billing and insurance follow-up ✓ ✓ ✓
Patient billing, collections and A/R ✓ ✓ ✓
BUSINESS COACHING
Basic business development / setup coaching ✓ ✓ ✓
Operational workflow guidance ✓ ✓ ✓
PROFESSIONAL VISIBILITY
Website clinician profile — ✓ ✓
Provider directory visibility — ✓ ✓
Passive exposure to existing marketing — ✓ ✓
Dedicated advertising / active marketing — — ✓
Active referral and caseload development — — ✓
FRONT DESK & SCHEDULING
Respond to new-client inquiries — ✓ ✓
New-client intake / paperwork coordination — ✓ ✓
Initial appointment scheduling — ✓ ✓
Ongoing scheduling and changes — — ✓
OFFICE & SUPERVISION
Eligible shared office space — — ✓
Clinical supervision included in base fee — — —

How the tiers differ: Essentials provides infrastructure, insurance verification, billing and business coaching. Plus adds passive marketing visibility, new-client front desk and first-appointment scheduling. Growth adds active marketing, ongoing scheduling and eligible shared office space.

Group contracts and supervisory billing are subject to payer approval and eligibility. High-volume rates require an average of 26 or more completed sessions per week in the prior calendar quarter.

Clinical supervision is not included in the base package fees. Separate supervision pricing applies.

Clinical Supervision & Documentation Oversight

Clinical supervision is available for eligible associate-level clinicians. Fees reflect direct supervision services and required documentation oversight.

Internal Clinical Supervision

Clinical supervision is charged at a fixed rate per clinician based on the supervision format.

Supervision Format Rate Per Clinician Session Length
Individual $150 60 minutes
Triadic (3 clinicians) $100 90 minutes
Group $75 90 minutes

Documentation Review and Required Note Sign-Off: An additional 5% of gross clinical revenue applies. This fee is separate from supervision session charges.

Triadic and group formats depend on scheduling, participant availability, supervisor capacity, and applicable licensure requirements. Shared supervision is not guaranteed.

Documentation Review & Supervisory Billing

The 5% fee covers routine review of completed documentation, required co-signatures, and reasonable documentation-related feedback.

Clinicians remain responsible for timely, accurate notes. The internal supervisor must meet the applicable payer's credentialing, oversight, and signature requirements. Supervision sessions and note sign-off alone do not establish billing eligibility.

Payment & Conditions

Fees for supervision and documentation oversight may be deducted from amounts otherwise payable to the clinician for services, when expressly authorized by the clinician services agreement.

All charges and offsets will be itemized in payment statements. Arrangements remain subject to applicable Washington and Oregon licensure rules and payer contracts.

Commitment

Businesses contracting with us agree to a 24-month minimum commitment, allowing time for onboarding, marketing setup, and initial administrative investment to be recouped. After 12 months on the full support tier, you may transition to a lower support tier if desired. If you are at a lower tier and decide that you need more support you may be able to increase to the full support tier at any time but you must remain at the full support tier for at least a full year.

Fee Review Schedule

Fees are reviewed on a quarterly basis using average active client volume. Tiers remain stable between review periods to support predictability, ramp-up, and seasonal fluctuations.

This model may be a good fit if you:

  • Want to run your own practice but don't want to manage billing, systems, or administrative logistics alone
  • Value flexibility and transparency in how support services are structured
  • Are comfortable operating as an independent business owner
  • Want scalable support that can grow with your caseload and goals

Our practice management model may not be the right fit if you:

  • Are seeking a traditional W-2 employment position
  • Prefer a fully managed schedule without responsibility for clinical autonomy
  • Are not comfortable with a percentage-based service model or waiting for claims to be processed
  • Are looking to focus mostly on clinical care without managing a business

If you are looking for an employment-based role at our company, please visit our Careers & Employment page to view current openings and benefits-eligible positions.

View Employment Opportunities →

Disclaimer: Pacific Neurocounseling provides practice management services to independently operating clinicians and clinician-owned businesses. Pacific Neurocounseling acts as the contracting entity providing practice management services to your business. This relationship does not create an employment relationship, partnership, or joint venture. Instead, we act as a vendor/contractor providing business services to your practice/business. Clinicians retain independent professional and business status.

While Pacific Neurocounseling provides practice management and administrative support services to independently established counseling businesses, each provider remains fully responsible for their own licensure, professional practice, client relationships, taxes, insurance, other business expenses, and compliance with all applicable laws, ethics, and regulations.